Automated ambulatory blood pressure monitoring (ABPM) devices consist of an inflatable arm cuff with pressure regulators and valves to measure blood pressure, a cuff microphone or sound transducer and microprocessor to detect and interpret blood pressure sounds or oscillations, mechanisms for programming and recording blood pressure readings, batteries for operating the device, and, in the case of semiautomatic devices, an inflation bulb.
Diaphragmatic/phrenic nerve stimulator devices are indicated for certain ventilator-dependent individuals who lack voluntary control of their diaphragm muscles to enable independent breathing without the assistance of a mechanical ventilator for at least four continuous hours a day.
States are required to arrange for and cover under the EPSDT benefit any Medicaid covered service listed in Section 1905(a) of the Act if that treatment or service is determined to be medically necessary to correct or ameliorate defects and physical and mental illnesses or conditions.
The Electro-Oculography (EOG) is an electrophysiological test of function of the outer retina and retinal pigment epithelium (RPE) in which the change in the electrical potential between the cornea and the ocular fundus is recorded during successive periods of dark and light adaptation.
Two major breast cancer predisposition genes, known as the breast cancer 1 susceptibility gene (BRCA1) and breast cancer 2 susceptibility gene (BRCA2), have been implicated in up to 40% of hereditary breast cancers, and it is estimated that mutations in BRCA1 and BRCA2 account for 5% to 10% of all breast cancers.
TSC is a variable multisystem disorder characterized by hamartomas that result in abnormalities of the skin (including hypomelanotic macules, facial angiofibromas, shagreen patches, fibrous facial plaques, and ungual fibromas), brain (including cortical tubers and subependymal nodules), kidneys (including angiomyolipomas and renal cysts), and heart (including rhabdomyomas and arrhythmias).
Inherited immunodeficiency disorders that affect B cells include hypogammaglobulinemia (which usually leads to respiratory and gastrointestinal infections) and agammaglobulinemia (which results in severe infections early in life, and is often deadly). Inherited immunodeficiency disorders that affect T cells may cause repeated Candida (yeast) infections.
The individual has engaged in an act of sexual abuse to another individual within the past 90 days (or more, if delay occurs due to delayed discovery or legal system.) or patient has a history of having committed a sexual offense, is in outpatient treatment, and is demonstrating behavior suggesting to the treating clinician that new offending behavior is imminent.
Observation care is a well-defined set of specific, clinically appropriate services, which include ongoing short term treatment, assessment, and reassessment, that are furnished while a decision is being made regarding whether patients will require further treatment as hospital inpatients or if they are able to be discharged from the hospital.
The RedPath Integrated Pathology (Pittsburgh, PA) PathFinderTG test is not a single test, but rather, is an advanced pathology service that includes microdissection, selection of regions to be analyzed, analysis of these regions using a variety of molecular tests (topographic genotyping), and expert pathologist interpretation of the results along with what is known about the particular case.
Psychosocial rehab (PSR) encompasses community-based or clinic-based but community-focused services designed to assist adults in strengthening or regaining skills designed to help them achieve their self-determined rehabilitation goals in living, working, educational or social environments and the development of environmental supports necessary to thrive in the community with the least amount of professional intervention possible.
Soliris® (eculizumab) is a complement inhibitor which inhibits the terminal part of the complement cascade, a part of the immune system that, when activated in an uncontrolled manner, plays a role in serious rare disorders like paroxysmal nocturnal hemoglobinuria (PNH), atypical hemolytic uremic syndrome (aHUS) and anti-acetylcholine receptor (AchR) antibody-positive myasthenia gravis (MG).
The Centers for Medicare and Medicaid Services (CMS) has determined that the evidence is adequate to conclude that counseling to prevent tobacco use, which is recommended with a grade of A by the U.S. Preventive Services Task Force (USPSTF) for all adults and pregnant women who use tobacco, is necessary for prevention of illness or disability and is appropriate for individuals entitled to benefits under Part A or enrolled under Part B.
VANTAS® (histrelin implant) is a sterile, non-biodegradable, diffusion-controlled HYDRON® polymer reservoir containing histrelin acetate, a synthetic nonapeptide analog of the naturally occurring gonadotropin releasing hormone (GnRH), also known as luteinizing hormone releasing hormone (LH-RH), possessing a greater potency than the natural sequence hormone.
Wound care includes, but is not limited to ulcers, pressure ulcers, open surgical sites, fistulas, tube sites and tumor erosion sites when the skills of a licensed therapist, qualified wound care nurse, nurse or physician/physician extender are required to safely and effectively provide the care necessary for their treatment.